How perioperative nurses can create an inclusive environment for transgender and gender-diverse patients

Providing compassionate and respectful care to all patients in and around the operating room (OR) is a cornerstone of perioperative nursing. Creating an inclusive environment for transgender and gender-diverse (TGD) patients is essential for delivering optimal care.

Perioperative nurses are uniquely positioned to help the patient feel more at ease by respecting names and pronouns, addressing patient concerns, and understanding physiological differences to cultivate a welcoming environment.

"Compassionate care knows no gender,” says Jaimie Weber, MBA-HM, MSN-ED, RN, PHN, NEA-BC, CCRN, CNOR. “By treating each individual with dignity and respect, we create a healthcare environment where everyone feels valued and cared for."

Respecting Transgender Patient Identity: Names and Pronouns

Using correct names and pronouns is fundamental to affirming a patient's gender identity.

• Consistent Usage: Ensure that the patient's pronouns and chosen name are used consistently throughout the perioperative journey, from pre-operative assessment to post-operative care.
• Documentation: Document the patient's pronouns and preferred name in the electronic medical record (EMR) and on identification bands.
• Communication: Encourage open communication among staff members to ensure everyone is using the correct name and pronouns.

Addressing Transgender Patient Concerns and Anxiety

TGD patients may experience heightened anxiety due to potential discrimination or misgendering.

• Active Listening: Create a safe space for patients to express their concerns and fears.
• Empathy and Support: Offer emotional support and reassurance throughout the perioperative process.
• Education: Provide information about the surgical procedure and post-operative care in a clear and understandable manner.

Understanding Physiological Differences in Gender Diverse Patients

While many physiological aspects of care are similar for all patients, it's essential to be aware of potential differences in TGD individuals.

• Organ Inventory: Conduct a thorough organ inventory to accurately assess patient needs and avoid unnecessary procedures.
• Pain Management: Consider the patient's pain management preferences and any previous experiences with pain medication.

Creating a Welcoming Environment for Transgender Patients

A welcoming environment contributes to a positive patient experience.

• Staff Education: Provide ongoing education and training on transgender and gender-diverse health to create a knowledgeable and supportive staff.
• Inclusive Language: Use inclusive language and avoid making assumptions about a patient's gender identity.
• Privacy and Dignity: Respect patient privacy and dignity during all aspects of care, including examination, gowning, positioning, and exposure of the body.

Collaborating with OR Staff and Advocacy for Transgender Patients

Collaboration with other healthcare providers is crucial for optimal patient care.

• Multidisciplinary Teams: Work closely with surgeons, anesthesiologists, and other specialists to coordinate care for TGD patients.
• Advocacy: Advocate for policies and procedures that support the needs of TGD patients within your organization.

By implementing these strategies, perioperative nurses can create a more inclusive and supportive environment for transgender and gender-diverse patients, ultimately improving patient outcomes and satisfaction.

"Perioperative nurses are at the intersection of vulnerability and resilience,” says Weber.

“We are the steadfast advocates who cradle patients through their most vulnerable moments, empowering them with compassion, knowledge, and unwavering support. Our dedication to patient well-being is at the core of the perioperative experience."